Revisiting INR Targets Prior to TKA
An elevated International Normalized Ratio (INR)—a standardized gauge for how long it takes blood to clot—is rarely a good sign …
Patellar Resurfacing in TKA: Is There a ‘Right’ Answer?
Based on available data, it appears that most arthroplasty surgeons in the United States (myself included) usually resurface the patella …
Residual Pain after Joint Replacement
This post comes from Fred Nelson, MD, an orthopaedic surgeon in the Department of Orthopedics at Henry Ford Hospital and …
Benchmark Data on Aseptic Revision after Knee Replacement
The main advantage of joint registries is their large number of recorded procedures, ideally with very few patient “types” not …
Persistent Pain after TKA: Can it Be Trained Away?
The anticipation of postoperative pain associated with a large operation such as a total knee arthroplasty (TKA) scares many patients. …
What’s New in Reconstructive Knee Surgery 2019
Every month, JBJS publishes a review of the most pertinent and impactful studies published in the orthopaedic literature during the …
Bundled Payments for Hip and Knee Replacement: Working as Planned?
When Medicare’s Comprehensive Care for Joint Replacement (CJR) program was implemented in 2016, the health care community—especially orthopaedic surgeons— had …
Full-Thickness Cartilage Defects More Predictive of Future TKA than Joint-Space Narrowing
Many older patients present to orthopaedic surgeons with clinical knee pain suggestive of osteoarthritis (OA) but with little or no …
Unexplained Pain After TKA? Duloxetine Might Help
Somewhere between 10% and 15% of patients are unsatisfied with their outcome after primary total knee arthroplasty (TKA). In some …